Document name: Maintenance & Operational Procedures for the control of Legionella, water hygiene, ‘safe’ hot water, cold water, drinking water and non-drinking water. Document type



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Procedure:

OUTLET FLUSHING – LITTLE USED OUTLETS* / VACANT AREAS (<60 DAYS) FLUSHING RECORD SHEET

Frequency:

Twice weekly

Acceptance date:

Oct’12

File Ref:

C – LEG26

Next review date:

Oct’14


Property:





Location:





System ID:





Docket No:




FLUSH__DATE__TIME'>OUTLET LOCATION

WEEKLY

MONDAY FLUSH

DATE & TIME

WEEKLY

MONDAY

FLUSH

INITIALS

WEEKLY

THURSDAY

FLUSH

DATE & TIME

WEEKLY

THURSDAY

FLUSH

INTIALS

COMMENTS































































































































































































































































































































































































































* Showers, baths, sinks, wash hand basins, sluice, WCs, tap, sprays etc.

I, the undersigned, have completed the works outlined above:

Operative


Name:

Signature:


Date:

Authorised Person [Water]


Name:

Signature:

Date:

Additional docket numbers issued:




PPM:

SHOWER HEAD & HOSE CLEAN AND DESCALE

PPM Ref:

C – LEG41

Frequency:

Quarterly

All correct PPE must be worn.


Disconnect shower head and hose.
Manually descale head, rose and hose.
Refit and flush through with clean water for 5 mins.


RECORD SHEET C – LEG41 MUST BE FILLED IN AND RETURNED TO THE AUTHORISED PERSON [WATER]




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